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1114969110
REUBEN KRISTIAN ELLIS
MACON, GA
NPI
1114969110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: GA 055819)
Enumeration Date
2006-06-12
Last Update Date
2020-11-19
Business Address
Dr. REUBEN KRISTIAN ELLIS M.D.
1425 GEORGIA AVE STE 201A
MACON, GA 31201-6546
Phone number: 478-250-1325
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Mailing Address
Dr. REUBEN KRISTIAN ELLIS M.D.
PO BOX 6612
MACON, GA 31208-6612
Phone number: 478-250-1325
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